Individual
GLENN R. WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 CLEVELAND AVE, COLUMBUS, OH 43231-4048
(614) 788-5280
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076996
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261789
—
OH
Enumeration date
06/30/2005
Last updated
03/27/2018
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